Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 07-01-2014 , and ending 06-30-2015
BCheck if applicable:
CName of organization
Via Christi Health Inc
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
8200 E Thorn Drive
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wichita, KS67226
D Employer identification number

48-1172107
E Telephone number

G Gross receipts $ 150,282,155
F Name and address of principal officer:
Jeff Korsmo
8200 E Thorn Drive
Wichita,KS67226
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
https://www.viachristi.org/
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1995
M State of legal domicile: KS
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: We serve as a healing presence with special concern for our neighbors who are vulnerable.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 10
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 925
6 Total number of volunteers (estimate if necessary) ............. 6 694
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,209,884
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -8,412
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,878,727 3,170,408
9 Program service revenue (Part VIII, line 2g) ......... 113,624,346 134,148,509
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 15,198,455 8,941,719
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 850,167 3,339,059
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 131,551,695 149,599,695
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 2,566,377 2,108,598
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 62,920,563 59,636,294
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet618,446    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 89,543,252 118,807,373
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 155,030,192 180,552,265
19 Revenue less expenses. Subtract line 18 from line 12....... -23,478,497 -30,952,570
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 575,749,845 555,701,448
21 Total liabilities (Part X, line 26)............. 519,906,126 415,573,233
22 Net assets or fund balances. Subtract line 21 from line 20..... 55,843,719 140,128,215
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: Via Christi Health, Inc., a Catholic Health System, shares this mission: "Inspired by the Gospel and our Catholic tradition, we serve as a healing presence with special concern for our neighbors who are vulnerable." Via Christi Health System's history extends back over 100 years and today, along with our sponsoring organization, Ascension Health, we continue to respond to community needs in Kansas and northeastern Oklahoma.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 151,712,804 including grants of $ 2,108,598 ) (Revenue $ 134,771,838 )
Via Christi Health, Inc., a Catholic health system, shares this mission: "Inspired by the Gospel and our Catholic tradition, we serve as a healing presence with special concern for our neighbors who are vulnerable." Via Christi Health's history extends back over 100 years and today, along with our sponsoring organization, Ascension Health, we continue to respond to community needs in Kansas and Northeastern Oklahoma. The obligation to reach out to those in need and improve community health flows directly from our identity as a faith-based healing ministry. As a mission-driven organization, we provide community benefit because we are committed to our core values of: 1) Service of the Poor - Generosity of spirit, especially for persons most in need; 2) Reverence - Respect and compassion for the dignity and diversity of life; 3) Integrity - Inspiring trust through personal leadership; 4) Wisdom - Integrating excellence and stewardship; 5) Creativity - Courageous innovation; and 6) Dedication - Affirming the hope and joy of our ministry. The primary location of Via Christi Health, Inc. is Wichita, Sedgwick County, Kansas. The 2014 estimated population was 508,803. Wichita is the largest city within Sedgwick County and the State of Kansas. The population is 81% white, 9.5% Black, 1.4% American Indian and 4.4% Asian. 3.6% of the population identified themselves as being biracial and 13.9% identified themselves as Hispanic or Latino. Nearly 14% of the population speak a foreign language, other than English, in their homes. 88.6% of adults 25 and older identified themselves as having a high school education and nearly 29% identified themselves as having Bachelor of Arts/Bachelor of Science degrees. Median household income is $49,865, which is less than the rest of the State at $51,332. The land area is nearly 1,000 square miles with approximately 500 persons per square mile when compared to 35 per square mile for all of Kansas. VCH works with the communities they serve in addressing their needs with their limited resources. Here are some of the ways in which VCH helps. Employees assist with: 1) Fundraising for other area not-for-profits through the annual One Community Campaign (in partnership with United Way), 2) Protecting the environment through a recycling program, 3) Saving lives through sponsoring blood drives in partnership with the American Red Cross, 4) Cash donations to organizations and programs that are health related, 5) In-kind donations of time for United Way Ambassadors, Jefferson Elementary, American Heart Association, Ronald McDonald House, community food drives, Children's Miracle Network and more. The financial information in this report was prepared in accordance with the Catholic Health Association's Community Benefit reporting guidelines. These guidelines recommend the following: 1) Report Charity Care at cost, not charges, 2) Do not include bad debt, contractual allowances and quick pay discounts as part of the Charity Care expense, 3) Do not count Medicare shortfall as a community benefit, and 4) Report the net expense for community benefit services (e.g. the total community benefit expense minus any associated revenue from patients, payers and other external sources.) For Fiscal Year Ended June 30, 2015: Community Benefit - VCH provided the following net benefit: Financial & In-Kind Donations = $969,525; Community Benefit Operations = $196,998; Community Health Improvement = $266,809; Research = $57,579; Community Building = $13,608 Total of Quantifiable Community Benefit of $1,480,911. In addition, in the category of Community Building, Via Christi Health, Inc. expended a total of $13,608 for a Grand Total of $1,504,519. One of the restricted donations of $100,000 was awarded to GraceMed Health Clinic, Inc., a FQHC that, in partnership with VCH and the YMCA, has opened up a clinic in South Wichita where there was a health care desert. Land was donated by the YMCA and VCH cash went toward the first year of operational costs in order to increase access to healthcare for low income populations living in the area who are in need of a medical home. For the Fiscal Year Ended June 30, 2015, Community Benefit - VCH Consolidated provided the following net benefit: 1. Charity Care (at cost) - $46,122,579 2. Government sponsored health care (net expense at cost) - $15,593,880 3. Community benefit programs (net expense) - $20,770,525 Community Health Improvement Services: a. Community Health Improvement Services and Community Benefit Operations - $1,883,263 b. Health Professions Education - $16,586,827 c. Subsidized Health Services - $430,802 d. Research - $281,626 e. Financial and in-kind donations - $1,481,902 f. Community building activities - $106,105 Total quantifiable community benefit expense - $82,470,525
4b (Code:   ) (Expenses $ 102,603 including grants of $ 0 ) (Revenue $ 54,770 )
VIA CHRISTI HEALTH, INC. CORPORATE OFFICE COMMUNITY BENEFIT - COMMUNITY HEALTH IMPROVEMENT SERVICES, RESEARCH, FINANCIAL AND IN-KIND CONTRIBUTIONS, COMMUNITY BUILDING ACTIVITIES, AND COMMUNITY BENEFIT OPERATIONS.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet151,815,407
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
254
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
925
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
10
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJudy Davis

8200 E Thorn Drive Suite 300
Wichita,KS672262708 (316) 858-4931
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JEFFREY O KORSMO
 
PRESIDENT & CEO
 50.00
.......................0 		X   X       1,234,574 0 67,812
(2) SR M THERESE GOTTSCHALK
 
TRUSTEE
 1.00
.......................5.70 		X           0 0 0
(3) GERALD T AARON
 
TRUSTEE
 1.00
.......................0 		X           0 0 0
(4) B ANTHONY ISAAC
 
TRUSTEE
 1.00
.......................0 		X           0 0 0
(5) THOMAS R KRUSE
 
TRUSTEE
 1.00
.......................0 		X           0 0 0
(6) JON RAHMAN
 
TRUSTEE
 1.00
.......................0 		X           0 0 0
(7) SR MARY JOAN WALSH
 
TRUSTEE
 1.00
.......................0 		X           0 0 0
(8) LYNDON O WELLS
 
TRUSTEE
 1.00
.......................0 		X           0 0 0
(9) CAROLINE A WILLIAMS
 
TRUSTEE
 1.00
.......................0 		X           0 0 0
(10) DONALD A WILSON
 
TRUSTEE
 1.00
.......................0 		X           0 0 0
(11) SR M JEANINE RETZER
 
TRUSTEE (END 4/15)
 1.00
.......................0 		X           0 0 0
(12) ROBERTA JOHNSON
 
ASSISTANT SECRETARY
 36.00
.......................14.00 		    X       280,071 0 51,357
(13) GARY KNIGHT
 
SECRETARY
 50.00
.......................1.00 		    X       435,018 0 128,044
(14) JEFF SEIRER
 
ASSISTANT TREASURER
 46.00
.......................7.00 		    X       345,950 0 67,759
(15) CAROL KARP
 
TREASURER (START 8/14)
 49.00
.......................5.00 		    X       158,602 0 9,132
(16) ABDUL BENGALI
 
CHIEF INFORMATION OFFICER
 50.00
.......................0 		      X     519,534 0 12,274
(17) JUDITH ESPINOZA
 
CHIEF HUMAN RESOURCES OFFICER
 50.00
.......................0 		      X     329,378 0 69,962
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) CLAUDIO J FERRARO
 
SR. ADMINISTRATOR CLIN SVC LN
 45.00
.......................5.00 		      X     356,329 0 63,975
(19) DAVID A GAMBINO
 
CHIEF STRATEGY & REG ADM OFFICER
 44.00
.......................11.00 		      X     563,471 0 121,219
(20) LINDA GOODWIN
 
CHIEF NURSING OFFICER
 1.00
.......................49.00 		      X     141,380 192,839 70,658
(21) SHERRY HAUSMANN
 
CHIEF HOSPITAL ADMIN OFFICER
 2.00
.......................48.00 		      X     511,373 0 85,924
(22) JOHN SHELLITO MD
 
CHIEF CLINICAL PHYSICIAN OFFICER
 48.00
.......................2.00 		      X     595,306 0 115,931
(23) MARGARET TICHACEK
 
CHIEF PLANNING & MKT
 50.00
.......................0 		      X     367,698 0 57,774
(24) KARL J ULRICH MD
 
CHIEF OPERATING OFFICER (START 2/14)
 50.00
.......................0 		      X     714,879 0 107,184
(25) DARRELL YOUNGMAN DO
 
CHIEF MEDICAL OFFICER
 2.00
.......................48.00 		      X     422,084 20,204 63,389
(26) STEVE NESBITT
 
CHIEF QUALITY OFFICER (END 11/14)
 0.00
.......................50.00 		      X     247,477 201,732 34,573
(27) DANIEL PENNINGTON
 
CHIEF PHILANTHROPY OFFICER (END 10/14)
 50.00
.......................1.00 		      X     288,619 0 19,865
(28) JOHN R BROBERG
 
SR. ADMINSTRATOR
 46.00
.......................4.00 		        X   371,296 0 58,655
(29) RANDALL R CASON
 
SR. ADMINISTRATOR
 48.00
.......................2.00 		        X   358,017 0 56,605
(30) EDWARD J HETT
 
MEDICAL DIRECTOR
 50.00
.......................0 		        X   309,264 0 49,634
(31) ART HUBER
 
SR. ADMIN
 4.00
.......................46.00 		        X   274,578 0 49,053
(32) LISA CARRUTHERS
 
SR ADMIN REV CYCLE
 50.00
.......................0 		        X   338,287 0 67,351
(33) DIANA KIDD
 
FORMER KEY EMPLOYEE
 0.00
.......................1.00 		          X 100,547 0 10,141
(34) CARLETON RIDER
 
FORMER KEY EMPLOYEE (END 6/14)
 0.00
.......................1.00 		          X 306,391 0 27,171
(35) RANDALL PETERSON
 
FORMER KEY EMPLOYEE (END 4/12)
 0.00
.......................0 		          X 645,257 0 0
(36) JERRY CARLEY
 
FORMER KEY EMPLOYEE (END 12/13)
 0.00
.......................0.00 		          X 207,533 0 0
(37) LORI GRUBS
 
FORMER KEY EMPLOYEE-CHRO (END 11/12)
 0.00
.......................0 		          X 126,985 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 10,549,898 414,775 1,465,442
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet88
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
American Consultants

9359 West 75th Street
Overland Park,KS66204 		Services 5,198,649
ARX

800 Crescent Centre Drive Suite 500
Franklin,TN37067 		Services 2,900,708
HIMS Consulting Group Inc

2155 Resort Drive Suite 220
Steamboat Springs,CO80487 		Services 1,330,340
AGFA Healthcare Corporation

10 South Academy Street
Greenville,SC29601 		Services 816,499
Medical Information Technology Inc

Meditech Circle
Westwood,MA02090 		Software Management Support 631,510
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet47
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 125,141
d Related organizations...1d 781,658
e Government grants (contributions)1e 70,334
f All other contributions, gifts, grants, and
similar amounts not included above1f 		2,193,275
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 3,170,408
Program Service RevenueAmt Business Code
2a IT Service Center 561000 73,002,972 73,002,972    
b Reimbursements 561000 37,347,036 37,347,036    
c Management Fees 561000 16,690,505 14,480,621 2,209,884  
d HR Service Center 561000 7,107,996 7,107,996    
e
f All other program service revenue . 0 0 0 0
g Total. Add lines 2a–2f........MediumBullet 134,148,509
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 8,994,041     8,994,041
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss) 0 0
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 92,542 0
b Less: cost or other basis and sales expenses 0 144,864
c Gain or (loss) 92,542 -144,864
d Net gain or (loss)..........MediumBullet -52,322     -52,322
8a Gross income from fundraising events (not including
$ 125,141
of contributions reported on line 1c). See Part IV, line 18 ..
a 148,185
b Less: direct expenses ...b 89,335
c Net income or (loss) from fundraising events..MediumBullet 58,850   58,850
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 840,487
b Less: cost of goods sold ..b 448,261
c Net income or (loss) from sales of inventory..MediumBullet 392,226     392,226
Miscellaneous Revenue Business Code
11a Soarian Early Termination Fee 900099 1,732,275 1,732,275    
b POOLED INVESTMENT MANAGEMENT 900099 118,372 118,372    
c Vending MACHINE/Other 900099 35,417 35,417    
d All other revenue .... 1,001,919 1,001,919 0 0
e Total. Add lines 11a–11d ...... MediumBullet 2,887,983
12 Total revenue. See Instructions......MediumBullet 149,599,695 134,826,608 2,209,884 9,392,795
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 1,224,331 1,224,331
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 884,267 884,267
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members ....    
5 Compensation of current officers, directors, trustees, and key employees .... 9,088,070   9,088,070  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 1,424,025   1,424,025  
7 Other salaries and wages .... 37,607,599 30,421,684 6,820,482 365,433
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... -1,568,715 -991,828 -463,217 -113,670
9 Other employee benefits ....... 9,673,395 6,292,792 3,313,782 66,821
10 Payroll taxes ........... 3,411,920 2,272,959 1,112,887 26,074
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 34,209 26,626 7,583  
c Accounting ........... 1,855,753 9,770 1,845,983 0
d Lobbying ........... 259,826 259,826    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 0 0 0 0
12 Advertising and promotion .... 820,600 641,376 15,130 164,094
13 Office expenses ....... 6,222,385 5,489,374 733,011  
14 Information technology ...... 31,033,192 30,552,086 481,106  
15 Royalties ..        
16 Occupancy ........... 2,688,804 2,620,007 68,797  
17 Travel ............ 1,217,501 1,040,447 177,054  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 268,361 160,187 108,174  
20 Interest ........... 12,113,480 12,113,480    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 22,524,419 21,907,791 616,628  
23 Insurance .............. -428,455 7,181 -435,636  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Purchased Services 9,666,726 8,451,574 1,207,938 7,214
b Service Fees 13,951,031 13,059,762 823,829 67,440
c Equip mgt/TriMedx Exp 9,155,422 9,155,422    
d Collection Services 4,705,941 4,705,941    
e All other expenses 2,718,178 1,510,352 1,172,786 35,040
25 Total functional expenses. Add lines 1 through 24e 180,552,265 151,815,407 28,118,412 618,446
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 13,163,660 1 17,117,634
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ........... 366,953 3 429,751
4 Accounts receivable, net .............   4  
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6  
7 Notes and loans receivable, net ............. 281,416,626 7 217,365,348
8 Inventories for sale or use .............. 261,869 8 216,966
9 Prepaid expenses and deferred charges .......... 8,132,086 9 6,015,198
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 28,358,993
b Less: accumulated depreciation ..... 10b -3,622,223 41,526,577 10c 31,981,216
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 ..... 80,432,991 13 86,341,008
14 Intangible assets ............... 61,464,334 14 58,205,235
15 Other assets. See Part IV, line 11 ........... 88,984,749 15 138,029,092
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 575,749,845 16 555,701,448
Liabilities 17 Accounts payable and accrued expenses ......... 50,559,021 17 33,616,630
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 0 20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 469,347,105 25 381,956,603
26 Total liabilities. Add lines 17 through 25......... 519,906,126 26 415,573,233
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 41,023,697 27 124,989,232
28 Temporarily restricted net assets ........... 8,894,681 28 9,213,642
29 Permanently restricted net assets ........... 5,925,341 29 5,925,341
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 55,843,719 33 140,128,215
34 Total liabilities and net assets/fund balances ........ 575,749,845 34 555,701,448
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
149,599,695
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
180,552,265
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-30,952,570
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
55,843,719
5
Net unrealized gains (losses) on investments ...............
5
-1,239,579
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
116,476,645
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
140,128,215
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Via Christi Health Inc
 
Employer identification number

48-1172107
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations ............................. 11
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) VIA CHRISTI HOSPITAL PITTSBURG INC
  		480543778   Yes   0 0
(B) VIA CHRISTI HOSPITAL WICHITA ST TERESA INC
  		271965272   Yes   812,032 0
(C) VIA CHRISTI HOSPITALS WICHITA INC
  		481172106   Yes   0 0
(D) GERARD HOUSE INC
  		481049532   Yes   207,869 0
(E) VIA CHRISTI REHABILITATION HOSPITAL INC
  		481158274   Yes   0 0
(F) VIA CHRISTI HEALTH PARTNERS INC
  		480958974   Yes   0 0
(G) VIA CHRISTI HOSPITAL MANHATTAN INC
  		481186704   Yes   0 0
(H) MERCY COMMUNITY HEALTH FOUNDATION INC
  		481152279   Yes   0 0
(I) WAMEGO HOSPITAL ASSOCIATION INC
  		721526400   Yes   0 0
(J) MERCY REGIONAL HOME MEDICAL SERVICES LLC
  		432024491   Yes   0 0
(K) SALINA REGIONAL HOME MEDICAL SERVICES LLC
  		431948057   Yes   0 0
Total : 1111 1,019,901

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
Yes
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
Yes
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
Yes
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
No
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
Yes
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2014 		(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2015. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A, Part IV, Line 3a Even though each Via Christi entity chooses their own board members, there is oversight from the VCH board. There is a historic and continuing relationship between VCH and Via Christi entities and the VCH board has final decision over major decisions for all Via Christi entities.
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name VCH sets the overall policies for all Via Christi entities to follow and communicates the policies to each entity. Even though each Via Christi entity chooses their own board members, there is oversight from the VCH board. There is a historic and continuing relationship between VCH and Via Christi entities and the VCH board has final decision over major decisions for all Via Christi entities.
Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies The Ascension Sponsor, through its control of the Ascension board, controls the system integrated strategic operational financial plan, annual targets, and initiatives. Within this operational framework, certain expenditures of funds, capital investments, issuances of debt, etc. are subject to Ascension-level approval.
Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities VCH sets the overall policies for all Via Christi entities to follow and communicates the policies to each entity. Even though each Via Christi entity chooses their own board members, there is oversight from the VCH board. There is a historic and continuing relationship between VCH and Via Christi entities and the VCH board has final decision over major decisions for all Via Christi entities.
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
Via Christi Health Inc
 
Employer identification number

48-1172107
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
Via Christi Health Inc
  		Employer identification number

48-1172107
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
Via Christi Health Inc
  		Employer identification number

48-1172107
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
Via Christi Health Inc
  		Employer identification number

48-1172107
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Via Christi Health Inc
 
Employer identification number

48-1172107
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2014

Schedule C (Form 990 or 990-EZ) 2014
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
259,826
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
259,826
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The Director of Public Policy/Advocacy and the Director of Government Relations set up meetings with government officials or legislators to discuss Via Christi Health, Inc.'s positions on issues. Lobbying issues related to positions on issues related to carrying out healthcare programs. Via Christi Health, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Via Christi Health Inc
 
Employer identification number

48-1172107
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 14,820,023 14,143,938 13,703,596 13,098,590 12,824,717
b Contributions ........ 2,823,903 1,842,184 2,750,395 2,849,747 3,198,552
c Net investment earnings, gains, and losses 52,589 953,821 167,725 1,014,728 33,188
d Grants or scholarships ..... 815,367 659,430 520,396 689,873 561,157
e Other expenditures for facilities
and programs ........ 		1,389,866 1,031,195 1,604,370 2,172,326 1,960,981
f Administrative expenses .... 352,299 429,295 353,012 397,270 435,729
g End of year balance ...... 15,138,983 14,820,023 14,143,938 13,703,596 13,098,590
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet39.14 %
c
Temporarily restricted endowment SchDMd Bullet60.86 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   -3,663,784 -6,552,931 2,889,147
c Leasehold improvements ............   -464,391 -892,458 428,067
d Equipment ................   31,431,837 3,933,776 27,498,061
e Other .................   1,055,331 -110,610 1,165,941
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 31,981,216
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Investment in Salina Regional Health Center 86,341,008 C








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 86,341,008
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Investment in Related Organizations 26,034,421
(2) Prepaid Pension 3,673,624
(3) Other Noncurrent Assets 3,614,703
(4) Other Miscellaneous Receivables 2,764,117
(5) Interest Receivable 173,797
(6) Cash Value Life Insurance 16,922
(7) Interest in Investments Held by Ascension Health Alliance 101,751,508


Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 138,029,092
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE 367,383,014
VALUATION RESERVE 6,577,807
WORKERS COMP RESERVE 4,354,529
PROFESSIONAL LIABILITY TAIL ACCRUAL 3,286,957
DEFERRED COMP - KEYSOP 354,296




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 381,956,603
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE AND ITS MEMBER ORGANIZATIONS ("THE SYSTEM"), WHICH INCLUDE THE ACTIVITY OF VIA CHRISTI HEALTH, INC.: THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2015.
Schedule D, Part V, Line 4 Intended uses of endowment funds These funds are used to provide financial support for various medical related projects and causes within Via Christi Health System. They also provide support for non-medical related issues such as employee and patient assistance. Permanently restricted funds are retained and only the earnings are released for purposes approved by the Board of Trustees.
Schedule D (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Via Christi Health Inc
 
Employer identification number

48-1172107
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ
filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2014
Schedule G (Form 990 or 990-EZ) 2014
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

Charity Classic
(event type) 		(b) Event #2

Gala Dinner
(event type) 		(c) Other events

 
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 145,930 127,396   273,326
2 Less: Contributions . . 61,235 63,906   125,141
3 Gross income (line 1
minus line 2) . . . 		84,695 63,490 0 148,185
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . . 42,696 24,927   67,623
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses . 5,199 16,513   21,712
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 89,335
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow 58,850
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2014
Schedule G (Form 990 or 990-EZ) 2014
Page 3
11
Does the organization conduct gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activities conducted in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $  
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2014
Additional Data


Software ID: 14000329
Software Version: 2014v1.0
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Via Christi Health Inc
 
Employer identification number
48-1172107
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Via Christi Hospitals Wichita Inc
929 N St Francis
Wichita,KS67214 		48-1172106 501(c)(3) 812,032       Operating Expenses/Equipment & Education
(2) Gerard House Inc
3144 N Hood
Wichita,KS67204 		48-1049532 501(c)(3) 207,869       Operating Expenses
(3) GraceMed Health Clinic Inc
1122 N Topeka
Wichita,KS67218 		48-1159633 501(c)(3) 61,168       General Assistance for Patients
(4) Greater Wichita YMCA
402 N Market St
Wichita,KS67202 		48-0554440 501(c)(3) 10,000       Medical Equipment & Low Income Family Memberships
(5) Wichita Metro Chamber of Commerce Inc
350 West Douglas Avenue
Wichita,KS67202 		48-0477290 501(c)(6) 25,000       Economic Development Partnership
(6) Ronald McDonald House Charities of Wichita Inc
1110 N Emporia
Wichita,KS67214 		48-0918101 501(c)(3) 5,500       Benefit Golf Tournament












2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
5
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Via Christi Employee Assistance 62 21,458      
(2) VCH-W Patient Assistance 2726 78,552      
(3) VCH-W Student Scholarships 54 49,099      
(4) Local Community Scholarships 320 735,158      






Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds All grants and assistance are reviewed and approved by a grant committee consisting of members of the Board of Trustees. Grant expenses are reviewed by the accounting department, and detailed grant reports are requested from all grantees.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. All grants and assistance are reviewed and approved by a grant committee consisting of members of the Board of Trustees. Grant expenses are reviewed by the accounting department, and detailed grant reports are requested from all grantees.
Schedule I (Form 990) 2014


Additional Data


Software ID: 14000329
Software Version: 2014v1.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Via Christi Health Inc
 
Employer identification number

48-1172107
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1JEFFREY O KORSMO
  PRESIDENT & CEO 		(i)
(ii)		 819,900
...............................
0 		396,914
...............................
0 		17,760
...............................
0 		48,300
...............................
0 		19,512
...............................
0 		1,302,386
...............................
0 		0
...............................
0
2JERRY CARLEY
  FORMER KEY EMPLOYEE (END 12/13) 		(i)
(ii)		 1
...............................
0 		0
...............................
0 		207,532
...............................
0 		0
...............................
0 		0
...............................
0 		207,533
...............................
0 		0
...............................
0
3LORI GRUBS
  FORMER KEY EMPLOYEE-CHRO (END 11/12) 		(i)
(ii)		 0
...............................
0 		0
...............................
0 		126,985
...............................
0 		0
...............................
0 		0
...............................
0 		126,985
...............................
0 		0
...............................
0
4ROBERTA JOHNSON
  ASSISTANT SECRETARY 		(i)
(ii)		 215,175
...............................
0 		57,129
...............................
0 		7,767
...............................
0 		42,318
...............................
0 		9,039
...............................
0 		331,428
...............................
0 		19,367
...............................
0
5GARY KNIGHT
  SECRETARY 		(i)
(ii)		 427,173
...............................
0 		0
...............................
0 		7,845
...............................
0 		113,321
...............................
0 		14,723
...............................
0 		563,062
...............................
0 		0
...............................
0
6JEFF SEIRER
  ASSISTANT TREASURER 		(i)
(ii)		 276,864
...............................
0 		62,485
...............................
0 		6,601
...............................
0 		48,628
...............................
0 		19,131
...............................
0 		413,709
...............................
0 		0
...............................
0
7CAROL KARP
  TREASURER (START 8/14) 		(i)
(ii)		 119,270
...............................
0 		0
...............................
0 		39,332
...............................
0 		5,054
...............................
0 		4,078
...............................
0 		167,734
...............................
0 		0
...............................
0
8DIANA KIDD
  FORMER KEY EMPLOYEE 		(i)
(ii)		 99,131
...............................
0 		0
...............................
0 		1,416
...............................
0 		7,889
...............................
0 		2,252
...............................
0 		110,688
...............................
0 		0
...............................
0
9CARLETON RIDER
  FORMER KEY EMPLOYEE (END 6/14) 		(i)
(ii)		 247,130
...............................
0 		0
...............................
0 		59,261
...............................
0 		26,085
...............................
0 		1,086
...............................
0 		333,562
...............................
0 		0
...............................
0
10RANDALL PETERSON
  FORMER KEY EMPLOYEE (END 4/12) 		(i)
(ii)		 645,257
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		645,257
...............................
0 		0
...............................
0
11ABDUL BENGALI
  CHIEF INFORMATION OFFICER 		(i)
(ii)		 406,230
...............................
0 		104,709
...............................
0 		8,595
...............................
0 		10,400
...............................
0 		1,874
...............................
0 		531,808
...............................
0 		0
...............................
0
12JUDITH ESPINOZA
  CHIEF HUMAN RESOURCES OFFICER 		(i)
(ii)		 256,319
...............................
0 		68,372
...............................
0 		4,687
...............................
0 		52,281
...............................
0 		17,681
...............................
0 		399,340
...............................
0 		0
...............................
0
13CLAUDIO J FERRARO
  SR. ADMINISTRATOR CLIN SVC LN 		(i)
(ii)		 280,316
...............................
0 		71,821
...............................
0 		4,192
...............................
0 		46,545
...............................
0 		17,430
...............................
0 		420,304
...............................
0 		0
...............................
0
14DAVID A GAMBINO
  CHIEF STRATEGY & REG ADM OFFICER 		(i)
(ii)		 438,370
...............................
0 		116,184
...............................
0 		8,917
...............................
0 		105,040
...............................
0 		16,179
...............................
0 		684,690
...............................
0 		0
...............................
0
15LINDA GOODWIN
  CHIEF NURSING OFFICER 		(i)
(ii)		 136,880
...............................
121,194 		0
...............................
67,233 		4,500
...............................
4,412 		9,160
...............................
40,239 		11,345
...............................
9,914 		161,885
...............................
242,992 		0
...............................
0
16SHERRY HAUSMANN
  CHIEF HOSPITAL ADMIN OFFICER 		(i)
(ii)		 400,463
...............................
0 		106,084
...............................
0 		4,826
...............................
0 		68,686
...............................
0 		17,238
...............................
0 		597,297
...............................
0 		0
...............................
0
17JOHN SHELLITO MD
  CHIEF CLINICAL PHYSICIAN OFFICER 		(i)
(ii)		 443,308
...............................
0 		131,676
...............................
0 		20,322
...............................
0 		96,436
...............................
0 		19,495
...............................
0 		711,237
...............................
0 		0
...............................
0
18MARGARET TICHACEK
  CHIEF PLANNING & MKT 		(i)
(ii)		 280,976
...............................
0 		80,025
...............................
0 		6,697
...............................
0 		48,623
...............................
0 		9,151
...............................
0 		425,472
...............................
0 		2,534
...............................
0
19KARL J ULRICH MD
  CHIEF OPERATING OFFICER (START 2/14) 		(i)
(ii)		 419,815
...............................
0 		111,376
...............................
0 		183,688
...............................
0 		96,200
...............................
0 		10,984
...............................
0 		822,063
...............................
0 		41,930
...............................
0
20DARRELL YOUNGMAN DO
  CHIEF MEDICAL OFFICER 		(i)
(ii)		 409,927
...............................
20,204 		0
...............................
0 		12,157
...............................
0 		43,058
...............................
0 		20,331
...............................
0 		485,473
...............................
20,204 		0
...............................
0
21STEVE NESBITT
  CHIEF QUALITY OFFICER (END 11/14) 		(i)
(ii)		 146,901
...............................
195,914 		95,737
...............................
0 		4,839
...............................
5,818 		3,988
...............................
12,912 		7,361
...............................
10,312 		258,826
...............................
224,956 		0
...............................
0
22DANIEL PENNINGTON
  CHIEF PHILANTHROPY OFFICER (END 10/14) 		(i)
(ii)		 225,131
...............................
0 		51,120
...............................
0 		12,368
...............................
0 		5,786
...............................
0 		14,079
...............................
0 		308,484
...............................
0 		93
...............................
0
23JOHN R BROBERG
  SR. ADMINSTRATOR 		(i)
(ii)		 275,321
...............................
0 		86,690
...............................
0 		9,285
...............................
0 		49,403
...............................
0 		9,252
...............................
0 		429,951
...............................
0 		0
...............................
0
24RANDALL R CASON
  SR. ADMINISTRATOR 		(i)
(ii)		 270,229
...............................
0 		82,864
...............................
0 		4,924
...............................
0 		39,220
...............................
0 		17,385
...............................
0 		414,622
...............................
0 		0
...............................
0
25EDWARD J HETT
  MEDICAL DIRECTOR 		(i)
(ii)		 270,748
...............................
0 		31,641
...............................
0 		6,875
...............................
0 		34,531
...............................
0 		15,103
...............................
0 		358,898
...............................
0 		0
...............................
0
26ART HUBER
  SR. ADMIN 		(i)
(ii)		 216,426
...............................
0 		52,594
...............................
0 		5,558
...............................
0 		32,193
...............................
0 		16,860
...............................
0 		323,631
...............................
0 		0
...............................
0
27LISA CARRUTHERS
  SR ADMIN REV CYCLE 		(i)
(ii)		 275,493
...............................
0 		59,056
...............................
0 		3,738
...............................
0 		45,633
...............................
0 		21,718
...............................
0 		405,638
...............................
0 		0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a First-class or charter travel Midwest Corporate Aviation , 1/28/15, $2,654, Project Tumbleweed--Passengers Jeff Seirer, Jeff Korsmo, Gary Knight, Sherry Hausmann, Dave Gambino. Not taxable compensation.
Schedule J, Part I, Line 4a Severance or change-of-control payment The following Former Key Employees received severance payments from the organization or a related organization during calendar year 2014: Lori Grubs - $123,200 Jerry Carley - $205,526
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are funded annually based on participation and are not vested until the 5 year service requirement is reached. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. The amount funded annually under the program to the executives is reported as compensation on Form 990, Schedule J, Part II, Column B in the year funded. The amount ultimately paid under the program to executives is reported on Form 990, Schedule J, Part II, Column F. The following individual received a distribution from a supplemental non-qualified retirement plan in the amount listed below: Karl Ulrich - $41,930 Eligible executives participated in a frozen supplemental option benefit program that provides for supplemental retirement benefits that was limited to Via Christi Hospital St. Francis, Preferred Medical Associate Physicians , Mount Carmel Regional Medical Center and Via Christi Health system executives. The payment of benefits under the program, if any, was linked to the exercise date for the options or to earned dividends on the options. Executives were vested in full when the options were granted. The amount ultimately paid under the program to executives receiving net option value is reported on Form 990, Schedule J, Part II, Column F. The following individuals received a distribution from the Keysop plan in the amount listed below: Roberta Johnson - $19,367 Margaret Tichacek - $2,534 Daniel Pennington - $93
Schedule J (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Via Christi Health Inc
 
Employer identification number

48-1172107
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2014
Schedule L (Form 990 or 990-EZ) 2014
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) INTRUST BANK
  		BOARD MEMBER (LYNDON WELLS) IS A BOARD MEMBER OF INTRUST BANK 199,635 BANK FEES PAID TO INTRUST BANK BY VIA CHRISTI HEALTH, INC.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Via Christi Health Inc
 
Employer identification number

48-1172107
Return Reference Explanation
Form 990, Part VI, Line 2 Business/Family Relationships Amongst Interested Persons MANY OF THE PERSONS LISTED ON PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF EMPLOYMENT BY VIA CHRISTI HEALTH, INC. RELATED ENTITIES.
Form 990, Part VI, Line 15 COMPENSATION Via Christi Health, Inc. (VCH) has established a common philosophy, strategy, and process for executive compensation to be used throughout the Health System. Through the oversight of the VCH Executive Compensation Committee, executive compensation is competitively positioned at its stated market position when compared to the compensation paid by relevant organizations (comparably- sized health systems, hospitals, and long-term care providers). VCH recognizes its responsibility to ensure that its executive compensation program is appropriate in view of its mission and tax- exempt status and that its compensation levels and expenditures are reasonable and not excessive. To ensure these ends, the VCH Executive Compensation Committee has established and approved the executive compensation philosophy for VCH and all related entities. It will also approve all changes in the compensation package for VCH executives in advance. On an annual basis, the committee conducts a comprehensive review of total compensation for all executives. It also reviews and approves "off- cycle" compensation transactions as needed. In their review, the Committee considers the following factors: - Market data from independent compensation surveys and sources that reflect comparable positions in organizations of similar size and scope; - Difficulties in recruiting and retaining executives; - Skills, experience and performance history of individual executives; - Critical business or strategic issues that the organization may face; and - Market position for total compensation. The adequacy, competitiveness, and cost of the VCH total executive compensation program are reviewed on an ongoing basis and changes are made as the Committee determines appropriate. The executive compensation program will be maintained such that it will fall within the safe harbor guidelines established by the intermediate sanctions regulations. The Committee also employs the services of an independent compensation consultant to prepare market analysis to aid and support the Committee's actions, provide documentation of market trends for budget setting purposes, review annual compensation changes to ensure "reasonableness" and provide attestation, and provide consultation on all executive compensation issues. The Committee also relies on third-party validation of performance measures used in the determination of compensation.
Form 990, Part VI, Line 6 Classes of members or stockholders Via Christi Health, Inc. has a single corporate member, Ascension Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Via Christi Health, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Via Christi Health, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluations; debt limits; strategic & financial plans; assets; and system policies & procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix.
Form 990, Part VI, Line 11b Review of form 990 by governing body Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Member's questions.
Form 990, Part VI, Line 12c Conflict of interest policy The organization monitors and enforces the Conflict of Interest Policy as follows: 1 - At time of appointment and annually thereafter, all interested persons, including board and committee members, complete a disclosure statement which addresses actual or potential conflicts of interest; 2 - The disclosure statement is done electronically and the return of the completed statement is a condition of continued appointment, employment, or participation with the organization; 3 - All actual or potential conflicts are reviewed, investigated, and resolved by the chief governance officer and the corporate responsibility officer, with the results shared with the chief executive of the organization; and 4 - Periodic reviews are conducted by governance, compliance, and internal audit to ensure the organization is operating consistent with the policy and enforcing the policy's terms.
Form 990, Part VI, Line 19 Required documents available to the public Via Christi Health, Inc.'s governing documents and Conflict of Interest Policy are available to the public upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue P-Card Rev - Total Revenue: 160876, Related or Exempt Function Revenue: 160876, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Misc Op Rev - Total Revenue: 841043, Related or Exempt Function Revenue: 841043, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer to Via Christi Entities - XXX-XX-XXXX; Transfer from Ascension Entities - -40555186; Market Value/Fund Balance - -XXX-XX-XXXX; FMV Non-controlling interest - other Activity - 1239276; Change in Pension and Other Changes - -1237058; Foundation Capital Transfers to Via Christi Entities - -84227; Transfer of Market value co 0101 to 0100 - 9080606; Beneficial interest - 35828238; Transfers to Affiliates - 23452350; Other Unrestricted Net Asset Activity - 12444; Net Assets Released from Restriction - 350599;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Via Christi Health Inc
 
Employer identification number

48-1172107
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) ASCENSION HEALTH ALLIANCE
PO BOX 45998

ST LOUIS,MO63145
45-3358926 		NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I NA
 
 
No
(2) ASCENSION HEALTH
PO BOX 45998

ST LOUIS,MO63145
31-1662309 		NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I ASCENSION HEALTH ALLIANCE
 
 
No
(3) VIA CHRISTI HOSPITAL PITTSBURG INC
1 MT CARMEL WAY

PITTSBURG,KS66762
48-0543778 		HOSPITAL KS 501(c)(3 3 VIA CHRISTI HEALTH INC
 
Yes
 
(4) MOUNT CARMEL FOUNDATION INC
1 MT CARMEL WAY

PITTSBURG,KS66762
48-0961283 		FOUNDATION KS 501(c)(3 Type I VIA CHRISTI HOSPITAL PITTSBURG INC
 
Yes
 
(5) VIA CHRISTI HOSPITAL WICHITA ST TERESA INC
14800 W ST TERESA

WICHITA,KS67235
27-1965272 		HOSPITAL KS 501(c)(3 3 VIA CHRISTI HEALTH INC
 
Yes
 
(6) VIA CHRISTI HOSPITALS WICHITA INC
929 N SAINT FRANCIS

WICHITA,KS67214
48-1172106 		HOSPITAL KS 501(c)(3 3 VIA CHRISTI HEALTH INC
 
Yes
 
(7) GERARD HOUSE INC
3144 N HOOD

WICHITA,KS67204
48-1049532 		HOSPITAL SUPPORT KS 501(c)(3 9 VIA CHRISTI HOSPITALS WICHITA INC
 
Yes
 
(8) VIA CHRISTI REHABILITATION HOSPITAL INC
1151 N ROCK ROAD

WICHITA,KS67206
48-1158274 		REHABILITATION HOSPITAL KS 501(c)(3 3 VIA CHRISTI HOSPITALS WICHITA INC
 
Yes
 
(9) VIA CHRISTI PROPERTY SERVICES INC
8200 E THORN DRIVE SUITE 300

WICHITA,KS67226
48-0948571 		PROPERTY MANAGEMENT KS 501(c)(4   VIA CHRISTI HOSPITALS WICHITA INC
 
Yes
 
(10) VIA CHRISTI HEALTH PARTNERS INC
8200 E THORN DRIVE SUITE 300

WICHITA,KS67226
48-0958974 		MANAGEMENT COMPANY KS 501(c)(3 9 VIA CHRISTI HEALTH INC
 
Yes
 
(11) Via Christi Hospital Manhattan Inc
1823 COLLEGE AVENUE

MANHATTAN,KS66502
48-1186704 		HOSPITAL KS 501(c)(3 3 VIA CHRISTI HEALTH INC
 
Yes
 
(12) MERCY COMMUNITY HEALTH FOUNDATION INC
PO BOX 13

MANHATTAN,KS66502
48-1152279 		FOUNDATION KS 501(c)(3 9 Via Christi Hospital Manhattan Inc
 
Yes
 
(13) WAMEGO HOSPITAL ASSOCIATION INC
711 GENN DRIVE

WAMEGO,KS66547
72-1526400 		HOSPITAL KS 501(c)(3 3 Via Christi Hospital Manhattan Inc
 
Yes
 
(14) MERCY REGIONAL HOME MEDICAL SERVICES LLC
2439 CLAFLIN ROAD

MANHATTAN,KS66502
43-2024491 		MEDICAL EQUIPMENT KS 501(c)(3 9 Via Christi Hospital Manhattan Inc
 
Yes
 
(15) SALINA REGIONAL HOME MEDICAL SERVICES LLC
520 SOUTH SANTA FE AVE

SALINA,KS67401
43-1948057 		MEDICAL EQUIPMENT KS 501(c)(3 9 SALINA REGIONAL HEALTH CENTER INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) AMBULATORY SURGERY CENTER LP

8200 E THORN DRIVE SUITE 300
WICHITA,KS67226
48-1114690 		SURGERY CENTER KS NA
  		N/A                
(2) AMS DIAGNOSTICS LLC

8200 E THORN DRIVE SUITE 300
WICHITA,KS67226
48-1223653 		RADIOLOGY SERVICES KS NA
  		N/A                
(3) KANSAS SURGERY AND RECOVERY CENTER LLC

2770 NORTH WEBB ROAD
WICHITA,KS67226
48-1148580 		SURGERY CENTER KS NA
  		N/A                
(4) MR IMAGING CENTER LLC

8200 E THORN DRIVE SUITE 300
WICHITA,KS67226
48-1000538 		IMAGING CENTER KS NA
  		N/A                
(5) ST JOSEPH MRI LLC

8200 E THORN DRIVE SUITE 300
WICHITA,KS67226
48-1007220 		IMAGING CENTER KS NA
  		N/A                
(6) Via Christi Imaging LLC (fka Mercy Imaging LLC)

1823 COLLEGE AVENUE
MANHATTAN,KS66502
48-1251984 		RADIOLOGY SERVICES KS NA
  		N/A                


Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) AFFILIATED MEDICAL SERVICES LABORATORY INC

2916 E CENTRAL
WICHITA,KS67214
48-1239522 		MEDICAL LABORATORY KS Via Christi Health Inc
  		C Corporation 19,333,326 10,152,359   Yes  
(2) INTEGRATED HEALTHCARE SYSTEMS INC

3311 EAST MURDOCK
WICHITA,KS67208
48-0941549 		CLINIC SERVICES KS Via Christi Health Inc
  		C Corporation 100,937,573 50,659,613   Yes  
(3) VCH IOWA PC TRUST

8200 E THORN DRIVE SUITE 300
WICHITA,KS67226
27-6937322 		BENEFICIARY TRUST IA Via Christi Health Inc
  		Trust 0 0   Yes  
(4) VCH IOWA PC

8200 E THORN DRIVE SUITE 300
WICHITA,KS67226
27-3983977 		PROFESSIONAL ASSOCIATION IA Via Christi Health Inc
  		C Corporation 0 48,710,195   Yes  
(5) VIA CHRISTI CLINIC PA

3311 EAST MURDOCK
WICHITA,KS67208
48-0993446 		PROFESSIONAL ASSOCIATION KS VIA CHRISTI HEALTH INC
  		C Corporation 152,556,063 83,782,920   Yes  
(6) VIA CHRISTI CLINIC SERVICES INC

8200 E THORN DRIVE SUITE 300
WICHITA,KS67226
27-3984287 		CLINIC SERVICES KS Via Christi Health Inc
  		C Corporation 0 0   Yes  
(7) VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC

8200 E THORN DRIVE SUITE 300
WICHITA,KS67226
46-2872857 		ACO KS VIA CHRISTI HEALTH INC
  		C Corporation 0 0   Yes  
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) VIA CHRISTI HOSPITALS WICHITA INC

 B 1,367,702 Actual Amount Transferred
(2) GERARD HOUSE INC

 B 390,813 ACTUAL AMOUNT TRANSFERRED
(3) INTEGRATED HEALTH SYSTEMS INC

 I 118,786 ACTUAL AMOUNT TRANSFERRED
(4) VIA CHRISTI HOSPITALS WICHITA INC

 H 189,025 ACTUAL AMOUNT TRANSFERRED
(5) VIA CHRISTI HOSPITAL PITTSBURGH INC

 I 66,634 ACTUAL AMOUNT TRANSFERRED
(6) VIA CHRISTI PROPERTY SERVICES INC

 J 106,099 ACTUAL AMOUNT TRANSFERRED
(7) VIA CHRISTI CLINIC PA

 L 265,401 ACTUAL AMOUNT TRANSFERRED
(8) VIA CHRISTI CLINIC PA

 M 659,160 ACTUAL AMOUNT TRANSFERRED
(9) INTEGRATED HEALTH SYSTEMS INC

 L 14,702,756 ACTUAL AMOUNT TRANSFERRED
(10) AFFILIATED MEDICAL SERVICES LABORATORY INC

 L 1,342,091 ACTUAL AMOUNT TRANSFERRED
(11) VIA CHRISTI HOSPITALS WICHITA INC

 M 68,246 ACTUAL AMOUNT TRANSFERRED
(12) VIA CHRISTI HOSPITALS WICHITA INC

 L 63,259,381 ACTUAL AMOUNT TRANSFERRED
(13) VIA CHRISTI HOSPITAL WICHITA ST TERESA INC

 L 6,890,113 ACTUAL AMOUNT TRANSFERRED
(14) VIA CHRISTI REHABILITATION HOSPITAL INC

 L 3,239,344 ACTUAL AMOUNT TRANSFERRED
(15) VIA CHRISTI HEALTH PARTNERS INC

 L 2,492,195 ACTUAL AMOUNT TRANSFERRED
(16) HOME MEDICAL SERVICES INC

 M 61,204 ACTUAL AMOUNT TRANSFERRED
(17) VIA CHRISTI HOSPITAL PITTSBURGH INC

 L 8,860,931 ACTUAL AMOUNT TRANSFERRED
(18) VIA CHRISTI HOSPITAL MANHATTAN INC

 L 9,140,831 ACTUAL AMOUNT TRANSFERRED
(19) WAMEGO HOSPITAL ASSOCIATION INC

 L 913,512 ACTUAL AMOUNT TRANSFERRED
(20) VIA CHRISTI CLINIC PA

 O 2,081,099 ACTUAL AMOUNT TRANSFERRED
(21) INTEGRATED HEALTH SYSTEMS INC

 O 94,981 ACTUAL AMOUNT TRANSFERRED
(22) VIA CHRISTI HOSPITALS WICHITA INC

 O 302,684 ACTUAL AMOUNT TRANSFERRED
(23) VIA CHRISTI CLINIC PA

 P 22,752,317 ACTUAL AMOUNT TRANSFERRED
(24) VIA CHRISTI CLINIC PA

 Q 2,225,314 ACTUAL AMOUNT TRANSFERRED
(25) INTEGRATED HEALTH SYSTEMS INC

 P 11,296,725 ACTUAL AMOUNT TRANSFERRED
(26) INTEGRATED HEALTH SYSTEMS INC

 Q 3,092,331 ACTUAL AMOUNT TRANSFERRED
(27) AFFILIATED MEDICAL SERVICES LABORATORY INC

 P 6,042,981 ACTUAL AMOUNT TRANSFERRED
(28) AFFILIATED MEDICAL SERVICES LABORATORY INC

 Q 73,837 ACTUAL AMOUNT TRANSFERRED
(29) VIA CHRISTI HOSPITALS WICHITA INC

 P 161,804,740 ACTUAL AMOUNT TRANSFERRED
(30) VIA CHRISTI HOSPITALS WICHITA INC

 Q 6,420,386 ACTUAL AMOUNT TRANSFERRED
(31) VIA CHRISTI HOSPITAL WICHITA ST TERESA INC

 P 4,327,815 ACTUAL AMOUNT TRANSFERRED
(32) VIA CHRISTI HOSPITAL WICHITA ST TERESA INC

 Q 295,925 ACTUAL AMOUNT TRANSFERRED
(33) VIA CHRISTI REHABILITATION HOSPITAL INC

 P 6,112,101 ACTUAL AMOUNT TRANSFERRED
(34) VIA CHRISTI REHABILITATION HOSPITAL INC

 Q 156,632 ACTUAL AMOUNT TRANSFERRED
(35) AMS DIAGNOSTICS LLC

 P 117,930 ACTUAL AMOUNT TRANSFERRED
(36) AMS DIAGNOSTICS LLC

 Q 87,699 ACTUAL AMOUNT TRANSFERRED
(37) VIA CHRISTI PROPERTY SERVICES INC

 P 3,193,522 ACTUAL AMOUNT TRANSFERRED
(38) VIA CHRISTI HOSPITAL PITTSBURGH INC

 P 36,459,624 ACTUAL AMOUNT TRANSFERRED
(39) VIA CHRISTI HOSPITAL PITTSBURGH INC

 Q 1,077,533 ACTUAL AMOUNT TRANSFERRED
(40) VIA CHRISTI HOSPITAL MANHATTAN INC

 P 23,601,136 ACTUAL AMOUNT TRANSFERRED
(41) VIA CHRISTI HOSPITAL MANHATTAN INC

 Q 906,039 ACTUAL AMOUNT TRANSFERRED
(42) WAMEGO HOSPITAL ASSOCIATION INC

 Q 137,009 ACTUAL AMOUNT TRANSFERRED
(43) VIA CHRISTI CLINIC PA

 R 3,195,412 ACTUAL AMOUNT TRANSFERRED
(44) INTEGRATED HEALTH SYSTEMS INC

 R 3,858,283 ACTUAL AMOUNT TRANSFERRED
(45) AFFILIATED MEDICAL SERVICES LABORATORY INC

 R 1,248,052 ACTUAL AMOUNT TRANSFERRED
(46) VIA CHRISTI HOSPITALS WICHITA INC

 R 28,313,517 ACTUAL AMOUNT TRANSFERRED
(47) VIA CHRISTI HOSPITAL WICHITA ST TERESA INC

 R 1,011,844 ACTUAL AMOUNT TRANSFERRED
(48) VIA CHRISTI REHABAILITATION HOSPITAL INC

 R 998,548 ACTUAL AMOUNT TRANSFERRED
(49) VIA CHRISTI PROPERTY SERVICES INC

 R 665,488 ACTUAL AMOUNT TRANSFERRED
(50) VIA CHRISTI HOSPITAL PITTSBURGH INC

 R 6,746,362 ACTUAL AMOUNT TRANSFERRED
(51) VIA CHRISTI HOSPITAL MANHATTAN INC

 R 5,169,179 ACTUAL AMOUNT TRANSFERRED
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


Software ID: 14000329
Software Version: 2014v1.0